Individual
NICOLE MARIE YASSINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.OM
Contact information
Practice address
2308 GRAYS FERRY AVE, PHILADELPHIA, PA 19146-1177
(215) 772-0770
Mailing address
1731 RIDGE AVE # C-2, PHILADELPHIA, PA 19130-1538
(860) 995-5987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OM000240
PA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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